[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-107-1-medical-surgical-075":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-107-1-內外科護理學-075","nurse-107-1-medical-surgical-075",107,1,75,"在急救過程中需為成年病人放置氣管內插管之敘述，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"依據病人的性別來做選擇","氣管內管由口插入深度大約為 25～27 公分","插管過程中，若血氧濃度下降至 80%，應立即停止插管並給病人 100%氧氣吸入 3～5 分鐘後，再嘗試插管","插管過程中可執行沙立克操作法（Sellick Maneauver）以防止發生食物逆流導致吸入性危險","B",null,[],"本題考點為成人氣管內插管的操作標準。依成人解剖,經口氣管內管插入深度約在門齒處21–23公分即可到達氣管中段(氣管隆凸上方),故B「由口插入深度大約25～27公分」數值過深、為錯誤選項,過深易造成單側支氣管插管。A依病人性別選擇管徑(男性約8.0–8.5、女性約7.0–7.5 mm)為合理原則;C插管中血氧降至80%應立即停止、先給100%氧氣3–5分鐘再嘗試,以防缺氧;D執行沙立克操作法(壓迫環狀軟骨)可壓迫食道防止逆流吸入,皆為正確做法。","插管深度確認靠多重方法:聽診雙側呼吸音對稱、觀察胸廓起伏、呼氣末二氧化碳(EtCO₂\u002Fcapnography)波形,並以胸部X光確認管尖位於氣管隆凸上約2–4公分。25–27公分通常已進入右主支氣管(右側較直且陡),造成單肺通氣。沙立克操作法(Sellick maneuver)於快速誘導插管時壓迫環狀軟骨閉合食道,減少胃內容物逆流誤吸,但確認插管完成或需嘔吐排出時應解除。",[24,27,29,31],{"term":25,"count":26},"氣管內插管",3,{"term":28,"count":10},"插管深度21-23公分",{"term":30,"count":10},"沙立克操作法",{"term":32,"count":10},"管徑選擇",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-1-medical-surgical-076","中毒病人最優先之處置原則，下列何者正確？",76,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-108-1-medical-surgical-012","有關肝硬化病人服用 Lactulose 之敘述，下列何者正確？",12,108,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-108-2-medical-surgical-026","60 歲的王太太是退休公務員，平日在家日常生活活動都靠家人幫忙，休息時仍感呼吸喘，晚上常因呼吸不順無法入睡，根據美國紐約心臟學會（NYHA）的心臟功能分級標準，上述情況何者正確？",26,2,{"webId":49,"stem":50,"number":51,"year":52,"session":47},"nurse-109-2-medical-surgical-064","關於膀胱癌接受膀胱切除及輸尿管造瘻術術後病人之護理措施，下列何者不適當？",64,109,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-111-1-medical-surgical-028","有關心絞痛病人接受股動脈經皮穿腔冠狀動脈血管成形術（PTCA）之術後護理，下列何者錯誤？",28,111,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-112-1-medical-surgical-062","有關逆行性腎盂造影術之敘述，下列何者正確？①檢查前評估病人有無鋇劑過敏病史 ②檢查前衛教病人勿排空膀胱 ③此檢查使用的顯影劑不會進入血流 ④檢查後監測病人有無尿瀦留、感染、血尿情形",62,112,"2026-09-04",1788510703178]